DR. MARK ALAN ABPLANALP O.D.
NPI 1174528962
Optometrist - Corneal and Contact Management in Oxford, OH
NPI Status: Active since June 17, 2005
Contact Information
5720 COLLEGE CORNER PIKE
OXFORD, OH
ZIP 45056
Phone: (513) 523-8798
Fax: (513) 523-5710
- Individual
- Male
- Optometrist
- Corneal and Contact Management
- Accepts Insurance
- PECOS Enrolled
About MARK ABPLANALP
This page provides the complete NPI Profile along with additional information for Mark Abplanalp, a provider established in Oxford, Ohio with a medical specialization in Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1174528962 assigned on June 2005. The practitioner's primary taxonomy code is 152WC0802X with license number 3842 (OH). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1174528962
- Provider Name
- DR. MARK ALAN ABPLANALP O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5720 COLLEGE CORNER PIKE OXFORD, OH 45056
- Location Phone
- (513) 523-8798
- Location Fax
- (513) 523-5710
- Mailing Address
- 8352 E COUNTY RD 1250 N SUNMAN, IN 47041
- Mailing Phone
- (513) 405-2496
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-17-2005
- Last Update Date
- 12-05-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- 3842
- License State
- OH
- Taxonomy Description
- The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152WC0802X | Eye and Vision Services Providers | Optometrist | 18002235 (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U47697 | MEDICARE UPIN (02) | OH | |
| 1174528962 | MEDICARE PIN (08) | OH |
Medicare Participation & PECOS Enrollment Status
Mark Abplanalp is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45056 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 2 | 8 | 9 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 2 | 16 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 6 + 9 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1174528962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982617296 | WAL-MART STORES EAST, LP Organization | Technician/Technologist (Optician) | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 524-4122 |
| 1861092223 | DR. NICOLE MARIE COOGAN R.PH. Individual | Pharmacist | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 524-3744 |
| 1376143545 | MRS. CAROL ANNE CURRY Individual | Pharmacist | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 524-3744 |
| 1194423582 | CHASITY NICOLE ABNEY Individual | Technician/Technologist (Optician) | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 523-8798 |
| 1427756105 | PAMELA LAYMAN OPTICIAN Individual | Technician/Technologist (Optician) | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 523-8798 |
| 1609574847 | KAYLA NICOLE RITCHIE Individual | Technician/Technologist (Optician) | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 523-8798 |
| 1801594148 | MICHAEL FOX Individual | Technician/Technologist (Optician) | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 523-8798 |
| 1710904909 | WAL-MART STORES EAST LP Organization | Pharmacy (Community/Retail Pharmacy) | 5720 COLLEGE CORNER PIKE OXFORD, OH 45056 (513) 524-3744 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174528962, enumerated in the NPI registry as an "individual" on June 17, 2005
The provider is located at 5720 College Corner Pike Oxford, Oh 45056 and the phone number is (513) 523-8798
The provider's speciality is Optometrist with taxonomy code 152WC0802X with a focus in Corneal and Contact Management
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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